HomeMy WebLinkAboutMiscellaneous - 70 SANDRA LANE 4/30/2018j
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Town of North Andover, MA
Watershed Septic System
Servicing Report
Date0—
Homeowner:_rQ
Street e C6aanr►/�D,C
Phone
Nature of Service:
Observations:
IM
Routine
Emergency
Good Condition
Full to Cover
+�
Baffles in Place
Leachfield Runback
Excessive Solids.
Heavy Grease
Roots
Other (Explain)
Description of Work:
1 Wvb
Comments:
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WATERSHED RESIDENTS QUESTIONNAIRE
1. Name /7'dR t M R 5 . ��)�'ry A LM> ` -k �v �j —T`Tt:-r__
2. Street Address 70 1 Stq 1i a F A � A tj _
3. How many members are in your household?
4. What type of sewage disposal system do you have?
❑ cesspool
VConnection
eptic tank and leaching area
to municipal sewer
❑ other (describe)
❑ do not know
5. Are the plans (drawings) foryour sewage disposal system on file with the Board of Health?
❑ yes ❑ no M do not know" -.
6. How old is your sewage d
ical system? ❑ 0-5 years ❑ 6-10 years EJ 11-20 years"
❑ over 20 years not know
7. Has your sewage disposal�sysem been rebuilt or repaired?
El yes El no Ly" do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumped out? ❑ annually
❑ every 2-4 years ❑ every 5-10 years . ❑ over 10 years ❑ never
9. Have you had any problems with your sewage disposal system?
If yes, what problems?
❑ repeated pump -outs needed
❑ system clogs, backs up, or drains slowly
❑ odors
❑ sewage surfaces through ground
r
❑ yes R no
10. How many of each applia ce are connected to your sewage disposal system?
washing machine dishwasher garbage disposal
dehumidifier drain sump pump toilet
roof/pavement drains shower/bathtub
11. Please state the brand and -type (liquid or powder) of detergent you use for:
dishwasher S &4 i'''- I e- +� T P.0 W_b C-p-
clotheswasher TJzi�l—,
12. Does your property have a lawn? Eq/,Yes ❑ no
If yes, approximately what size?
❑ less than 1/4 acre ❑ 1/4 acre ❑ 1/z acre 3/4 acre 0 1 acre
❑ more than 1 acre (Specify) acres
13. How often do you fertilize your lawn?
No. of applications per year ..3
Season(s) of the year SPcrrJ4 - _,Vkrr,jCAL
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
Ck�/Y1� reJ N ` ScoT"ix
Check here if your lawn is maintained by a professional landscape contractor.